dyspepsia
DYSPEPSIA

Dyspepsia is having any one of the following: Disturbing postprandial fullness, early satiation, epigastric pain and/or burning felt predominantly in the upper abdomen.

It is considered a symptom complex rather than a specific diagnosis.

Acid suppression is the recommended initial therapy.

Differential Diagnosis

  • Chronic peptic ulcer disease (PUD)
  • Gastroesophageal reflux disease (GERD)
  • Gastroesophageal malignancy
  • Irritable bowel syndrome (IBS)
    • Link with pain and bowel movement is indicative of IBS
  • Consider the possibility of cardiac, biliary disease or pancreatic disease
    • Biliary pain is characterized by acute and severe upper abdominal pain that is episodic and not colicky, lasting for an hour or more
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Dr. Joseph Delano Fule Robles, 18 Apr 2019

A recent study by investigators from Hong Kong showed that poor sleep quality and longer sleep onset latency are associated with an increased risk of peptic ulcer disease (PUD) recurrence. Depression is also shown to be associated with subsequent incidence of PUD.